Provider Demographics
NPI:1548551211
Name:FRANCIS A SUNSERI MD
Entity type:Organization
Organization Name:FRANCIS A SUNSERI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUNSERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-264-7114
Mailing Address - Street 1:340 S HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2477
Mailing Address - Country:US
Mailing Address - Phone:740-264-7114
Mailing Address - Fax:
Practice Address - Street 1:340 S HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2477
Practice Address - Country:US
Practice Address - Phone:740-264-7114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350267065207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0059243Medicaid
WV1806123000Medicaid